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Anti-Extractable Nuclear Antibodies Panel

Principle

Each rheumatic disease typically exhibits a characteristic antinuclear antibody (ANA) profile. Therefore, identifying the specific ANA pattern in a patient’s serum is valuable for the differential diagnosis of autoimmune connecti

Specimen Requirements

Specimen

Serum

Collection

Collect one 10 mL red-top tube (no anticoagulant or preservative) by standard venipuncture.

Processing

Allow blood to clot and centrifuge at 1600 rpm for 10 minutes to separate serum.

Storage and Transport

  • Room temperature: up to 8 hours
  • 2–8°C: up to 48 hours
  • –20°C or below: for longer storage

Send frozen serum on dry ice. Do not freeze samples in self-defros

Minimum Volume

100 µL of serum

Method

Enzyme-Linked Immunosorbent Assay (ELISA)

Normal Range

Negative.
Positive results for each ENA antigen are indicated separately.

Turnaround Time

7-10 business days

Panel includes

  • Anti-ENA includes Sm and RNP
  • Anti-Sjögrens includes SSA and SSB

References

Kądziela, M., et al. The Art of Interpreting Antinuclear Antibodies (ANAs) in Clinical Practice,
Journal of Clinical Medicine. 2025.